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GAVINO DERMATOLOGY, PLLC
NPI 1619609682
Dermatology in Liberty Hill, TX

Active since June 28, 2022
9073 W STATE HIGHWAY 29 STE 108, LIBERTY HILL, TX 78642(737) 377-3143(737) 200-8237 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2026, Sep 18, 2025, May 23, 2025 and 4 more (7 updates tracked since 2022).

About Gavino Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAVINO DERMATOLOGY, PLLC (NPI 1619609682) is a healthcare organization registered as a dermatology in Liberty Hill, Texas and active in the NPI registry since June 2022. The organization maintains a secondary practice location in Lakeway and lists Alde Carlo Patdu Gavino, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1619609682
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGAVINO DERMATOLOGY, PLLC
Location Address9073 W STATE HIGHWAY 29 STE 108Liberty Hill, TX 78642-2396
Mailing Address9073 W State Highway 29 Ste 108Liberty Hill, TX 78642-2396 · (737) 377-3143 · Fax (737) 200-8234
Phone(737) 377-3143
Fax(737) 200-8237
Organization SubpartNo
Authorized OfficialAlde Carlo Patdu GavinoMd/owner · (737) 377-3143
Enumeration DateJune 28, 2022
Last NPPES UpdateMay 21, 20267 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1619609682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
9073 W STATE HIGHWAY 29 STE 108, Liberty Hill, TX 78642
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Secondary Practice Location 1

Location 13502 Wild Cherry Dr Bldg 1Lakeway, TX 78738-1826 · Phone (737) 377-3143 · Fax (737) 200-8237

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALDE CARLO PATDU GAVINO M.D.
Dermatology (Dermatopathology)
9073 W STATE HIGHWAY 29 STE 108
LIBERTY HILL, TX 78642
Williamson County (737) 377-3143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gavino Dermatology, PLLC's NPI number?

The NPI number for Gavino Dermatology, PLLC is 1619609682. It was assigned to this organization in the NPPES registry on June 28, 2022.

Where is Gavino Dermatology, PLLC located?

Gavino Dermatology, PLLC is located at 9073 W State Highway 29 Ste 108, Liberty Hill, TX 78642. The listed phone number is (737) 377-3143.

What is Gavino Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Gavino Dermatology, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Gavino Dermatology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gavino Dermatology, PLLC was last updated on May 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.